Additional Investigations and Referrals by Primary Care Physicians in Uncertain Clinical Situations: Cross-Sectional Study Using Virtual Patient–Based Scenarios

Mathieu Lorenzo   ^{1, 2} , MD, PhD ;   Thierry Pelaccia   ² , MD, PhD ;   Emmanuel Triby   ³ , PhD ;   Yunus Can   ¹ , MD ;   Romain Krider   ¹ , MD ;   Hubert Maisonneuve   ⁴ , MD ;   Nicolas Fernandez   ⁵ , PhD

¹ Department of General Medicine and Territorial Training, Faculty of Medicine, Midwifery, and Health Sciences, University of Strasbourg, Strasbourg, France

² Center for Training and Research in Health Sciences Education (CFRPS), Faculty of Medicine, Midwifery, and Health Sciences, University of Strasbourg, Strasbourg, Grand Est, France

³ Faculty of Education and Lifelong Learning (ESPE), University of Strasbourg, Strasbourg, France

⁴ University Institute for Primary Care, Faculty of Medicine, University of Geneva, Geneva, Switzerland

⁵ Center for Applied Pedagogy in Health Sciences (CPASS), University of Montreal, Montréal, QC, Canada